Individual provider Active NPI

Joni Kay Henderson, ARNP

  • Family Nurse Practitioner
  • Independence, IA
National Provider Identifier
1902111503
Registry record updated Jan 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
A075433 Issued in IA
Practice address
1600 1St St E
Independence, IA 50644-3155
Phone
(319) 332-0999
NPI assigned
Aug 9, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X A075433 IA Primary

Addresses

Primary practice location

1600 1St St E
Independence, IA 50644-3155

Mailing address

1600 1St St E
Independence, IA 50644-3155
Phone (319) 332-0999

Other practice location 1

701 10th St SE
Cedar Rapids, IA 52403-1251
Phone (319) 398-6011

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jhenderson@bchealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120120000454 IA Practitioner - Nurse Practitioner 0143497834 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peoples Memorial HospitalGroup PAC ID 9931010790, shared by 7 NPIs, 47 clinicians

Practice addresses (Care Compare)

1600 1St St E
Independence, IA 50644-3155
Phone (319) 332-0999

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
A075433IAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
People's Memorial Hospital CurrentSince Feb 1, 2021 Accepting new patients
Mercy Medical Center CurrentSince Nov 1, 2011 Accepting new patients
St Luke's Methodist Hospital Current Accepting new patients
Mercy Physician Associates, Inc CurrentSince Jul 6, 2015 Accepting new patients
People's Memorial Hospital CurrentSince Jan 1, 2018 Accepting new patients
People's Memorial Hospital CurrentSince Jan 1, 2018 Accepting new patients
Mercy Physician Associates Inc CurrentSince Jul 6, 2015 Accepting new patients
Mercy Physician Associates, Inc Current Accepting new patients
Mercy Medical Center CurrentSince Nov 1, 2011 Accepting new patients
Mercy Medical Center Current Accepting new patients
People's Memorial Hospital Past Accepting new patients

Locations

3933 Mount Vernon Rd SE
Cedar Rapids, IA 52403
Phone (319) 363-8148

701 10th St SE
Cedar Rapids, IA 52403
Phone (319) 398-6011

1790 Blairs Ferry Rd
Hiawatha, IA 52233
Phone (319) 378-8362

1600 1st St E
Independence, IA 50644
Phone (319) 332-0999

1100 1st St E
Independence, IA 50644
Phone (319) 334-2541

2405 Rock Island Rd
Oelwein, IA 50662
Phone (319) 283-2651

Interoperability endpoints

  • Direct secure messaging: jhenderson76324@direct.unitypoint.org

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1281312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609977600000",
    "number": "1902111503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1600 1ST ST E",
            "city": "INDEPENDENCE",
            "state": "IA",
            "postal_code": "506443155",
            "telephone_number": "319-332-0999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1600 1ST ST E",
            "city": "INDEPENDENCE",
            "state": "IA",
            "postal_code": "506443155",
            "telephone_number": "319-332-0999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "701 10th St SE",
            "address_purpose": "LOCATION",
            "city": "Cedar Rapids",
            "state": "IA",
            "postal_code": "524031251",
            "country_code": "US",
            "telephone_number": "319-398-6011",
            "fax_number": "319-398-6907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENDERSON",
        "first_name": "JONI",
        "middle_name": "KAY",
        "name_prefix": "Ms.",
        "credential": "ARNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-09",
        "last_updated": "2021-01-07",
        "certification_date": "2021-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IA",
            "license": "A075433",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jhenderson@bchealth.org",
            "affiliation": "N",
            "endpointDescription": "Buchanan County Health Center Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1600 1st St E",
            "city": "Independence",
            "state": "IA",
            "country_code": "US",
            "postal_code": "506443155",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Independence, IA

Sources for this page

Verify at the official NPI Registry.